SP08 CAPS Notes (1)

1/8/2008 Staffing

* Identity confusion: Who would you like to be? What do you want to do? (Explore options)

* Glimpse of health - Knowing what is NOT good.

1/18/2008 IND SUP

* Am I developing?

* Diagnostic assessment

* Scheme inventory

* Make the CL look smart and in power.

* Moment-by-moment process of "How is the CL taking it?" and learn to pull back when needed.

* Increase awareness to look for CL reaction cues & your own clinical judgment process. Consciously process and evaluation instead of on autopilot.

* When unclear, ask the CL to help out. Be appreciative when the CL shares anything remotely critical. Reinforce the CL to speak on his/her own behalf. Approval for dissent. Go after the information. "I am not sure I am on target."

1/15/08

* Be honest and realistic. But don't focus on the uncertain aspects. Be positive.
* Therapy is mostly tedious with few breakthroughs in between. You need to lay groundwork, explore to find ways, and discover possibilities.

Previously:

* Not fully committed to risk loving: how to lower risk? Increase a sense of control and safety.
* (Sexual abuse) Just because parents say it is not does not make it not.
* Explore options along with expected outcomes. Know the purpose of actions before acting.
* To "I don't know" responses. Pick something out. "I will wait when you think." 13-second rule
* Eastern Europe - less value on psychologically-mindedness. Depression - somatic, sth. in the air
* Think of empowerment.
* Consumer model of relationship. Find "the right one" for me.
* Substance Abuse Assessment: CAGE Cut down, Annoy, Guilty , Eye Opener
* Learn to be emotionally neutral and focus on the specifics. If we want the CL to rely more on internal validation, we need to void being colluded into the old pattern of giving external reinforcers.
* Always keep treatment goal and CL's needs in mind.
* Don't over-accommodate. Let the natural consequences get played out. Keep appropriate boundaries.
* Assume strengths and look for them. Build on them.
* Termination: clarify accomplishments. Re-evaluate goal, issue, pattern, and primary concerns the CL came in for. "It seems fine for now. Does it seem that way to you? There is something else you came in for. Would you like to try this out on your own to see how it works?"
* Guilt happens when we violate our own value code. It is useful for us to address the issue. Conditioned reaction. Recondition.


* Pay attention to attire. Observe the people group with the status you would like to have. Learn from them. Dress for the next level. Co-workers are not your friends. Prove yourself and build up your credibility. Choose wisely how to present yourself.
* Self-presentation. Always sell yourself.
* Learn from the feedback. Learn emotional protection of self. Know when is mine and when is others.